Manuela Daian
Orthodontist, Netherlands
Title: Auto transplantation of a lower cuspid: A case presentation
Biography
Biography: Manuela Daian
Abstract
Introduction: Mandibular canine impaction with or without transmigration is regarded as a much rarer
phenomenon and there are limited studies revealing its frequency of occurrence. Canine impactions occur
20 times more frequently in the maxilla than in the mandible and impacted maxillary canines have not
been observed migrating across the midline palatal suture. The cause is usually a supernumerary tooth, an
odontoma or crowding. It may, however, occur with no apparent reason. This problem has several solutions.
The tooth could be surgically exposed and moved into the dental arch orthodontically, an autotransplantation
could be performed or the cuspid can be extracted.
Case Presentation: Here we present a case of a 13 year old girl with an impacted and transmigrated lower
cuspid. The autotransplantation was chosen as the treatment method. The autotransplantation was performed
in the Clinic Paro Rotterdam. Because the root formation of the cuspid was complete an endodontic treatment
was performed two weeks after the autotransplantation. The postoperative phase developed without
complications and the orthodontic treatment was completed within 11 months after the autotransplantation.
Conclusion: In 1933 Harry Wright stated that in order to have a normal occlusion all the permanent teeth
should be present and in a correct position. Referring to the impacted teeth and their treatment affirmed that:
“Is easier to extract such a tooth than to aide his eruption”. Unfortunately, affirmations are still present; there
are still clinicians who choose for extraction of the lower impacted cuspid even if the position of the cuspid
allows the autotransplantation.